Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $86.55 / $20,281.57	Facility		$28.70	$86.55	$20,281.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.70 / $1,777.05	Professional		$27.86	$28.70	$1,777.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $59.90 / $62.13	Facility		$51.54	$59.90	$62.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $41.79	Professional		$27.86	$27.86	$41.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $40.39 / $51.07	Facility		$27.86	$40.39	$51.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.85 / $64.59	Professional		$27.86	$28.85	$64.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $40.40 / $73.93	Facility		$27.86	$40.40	$73.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $33.38 / $45.40	Professional		$27.86	$33.38	$45.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $28.85 / $40.18	Facility		$27.86	$28.85	$40.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $28.85 / $41.59	Facility		$28.85	$28.85	$41.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $32.11 / $126.83	Professional		$28.85	$32.11	$126.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $58.40 / $85.00	Professional		$27.86	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $28.85 / $40.18	Facility		$27.86	$28.85	$40.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $36.86 / $97.90	Professional		$23.68	$36.86	$97.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $71.17 / $304.70	Facility		$27.86	$71.17	$304.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $71.17 / $126.83	Professional		$27.86	$71.17	$126.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $39.11 / $46.25	Professional		$39.11	$39.11	$46.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $29.53 / $39.00	Professional		$27.86	$29.53	$39.00